Confidential Resume Submitted To The Commissioner Of Business Oversight (Page 3 of 3) in pdf

Confidential Resume Submitted To The Commissioner Of Business Oversight Page 3

STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT

CONFIDENTIAL RESUME SUBMITTED TO THE COMMISSIONER OF BUSINESS OVERSIGHT,

STATE OF CALIFORNIA

DBO-3 (Rev. 5-16) Page 3 of 3

Attn: Deputy Commissioner, Credit Unions

Department of Business Oversight

Division of Financial Institutions

300 South Spring Street, Suite 15513

Los Angeles, California, 90013-1204

For all matters relating to money transmitters:

Attn: Deputy Commissioner, Money Transmitters

Department of Business Oversight

Division of Financial Institutions

45 Fremont Street, Suite 1700

San Francisco, California, 94105-2219

For all other matters:

Attn: Chief State Examiner

Department of Business Oversight

Division of Financial Institutions

300 South Spring Street, Suite 15513

Los Angeles, California 90013-1204

DBO’s Privacy Notice on Collection

DBO Collects and Uses Personal Information: The DBO collects the information requested on this form as

authorized by Chapter 1 of Title 10 of the California Code of Regulations. The DBO uses this information to

process applications related to entities authorized to engage in business under the Financial Institutions Law.

Use of the personal Information DBO collects is subject to limitations contained in the Information Practices

Act of 1977 and other applicable state and federal laws.

Providing Personal Information Is Mandatory: When providing information or documents, please do not

include unrequested personal information such as a Social Security number, driver’s license number, or

financial information.

DBO May Disclose Your Personal Information: We may share your personal information with other federal

and state financial institution regulators, or any law enforcement agency. Your personal information may also

be disclosed:

 In response to a Public Records Act request, as allowed by the Information Practices Act.

 To another governmental agency as required by state or federal law.

 In response to a court order or administrative order, a subpoena or a search warrant.

Your Access to Your Personal Information: You may review the records maintained by DBO that contain

your personal information. To request access, contact: DBO Privacy Officer, 1515 K Street, Sacramento, CA

95814.

Confidential Resume Submitted To The Commissioner Of Business Oversight Page 3